INDIA BEATRICE SOJOURNER JACKSON LGPC
NPI 1235816174
Counselor - Professional in Baltimore, MD

Active since July 03, 2023
312 MARTIN LUTHER KING JR BLVD STE 300, BALTIMORE, MD 21201(443) 759-9592 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About India Beatrice Sojourner Jackson Lgpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDIA BEATRICE SOJOURNER JACKSON LGPC (NPI 1235816174) is an individual professional provider in Baltimore, Maryland, licensed in Maryland (LGP13552) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1235816174
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameINDIA BEATRICE SOJOURNER JACKSONCredential: LGPC
Location Address312 MARTIN LUTHER KING JR BLVD STE 300Baltimore, MD 21201-1221
Mailing Address4307 Spring Foal CtUpper Marlboro, MD 20772-8326 · (202) 212-9204
Sole ProprietorYes
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 2, 2023
NPI 1235816174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LGP13552
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LGP13552 (MD)
312 MARTIN LUTHER KING JR BLVD STE 300, Baltimore, MD 21201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is India Jackson's NPI number?

The NPI number for India Jackson is 1235816174. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is India Jackson located?

India Jackson practices at 312 Martin Luther King Jr Blvd Ste 300, Baltimore, MD 21201. The listed phone number is (443) 759-9592.

What is India Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for India Jackson was last updated on July 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.